Against the backdrop of ethnic political mobilisation in Latin America, this article examines how, as Quetzaltenango's first Mayan mayor, Rigoberto Quemé Chay transformed two interrelated dimensions of citizenship: political culture and the politics of belonging. It analyses the way in which citizenship is constituted at three levels. The first is within Xel-jú as an indigenous political organisation whose practices contrast with ladino ways of doing politics. The second is in relation to internal divisions between the militant indigenous line and the intercultural group. The third is within Xel-jú as a city-centred, middle-class-oriented indigenous organisation rather than a rural, indigenous community organisation. This article argues that transformations in citizenship are limited by the political, economic and ethnic context, and that overlapping systems of repression still prevent the participation of marginalised groups in Quetzaltenango.

This paper focuses on the similarities and differences between contemporary urban organisation and that of the 1960s in Guatemala City and other Latin American cities, mainly using data taken from a re-study of low-income neighbourhoods in Guatemala City. It looks at the impact of sharper patterns of residential segregation, changes in migration patterns, rising levels of crime and violence, and the increase in the relationships of the urban poor with external actors, such as governments and NGOs. Severe inequality persists, but is mediated by an improvement in living standards, by the range of consumer goods accessible to the poor, and by community- and family-based adaptation.

Objective: Community organisations provide care for psychiatric patients at multiple levels. With increasing emphasis on joint planning and purchasing of care it is important to ascertain the views of such organisations towards statutory organisations and services the latter provide.

Method: All community organisations working within one inner city catchment area in London were approached in order to obtain their views and experiences on the mental health services provided by the secondary care services. This was a postal survey and non-responders were contacted by personal calls.

Results: Sixty organisations out of a total of 100 in the database responded. More than half had experiences of statutory services and these were generally negative. The services provided were perceived as being rigid and inflexible. A large majority of the organisations wished services to be more flexible as well as provide more training for voluntary organisations.

Conclusion: The survey suggests that the perceptions of the statutory services and co-working with voluntary organisations can succeed only if the two groups work together closely to make good quality community care possible.